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Average Number of Deficiencies per Certified Nursing Facility by Rurality
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Average Number of Deficiencies per Certified Nursing Facility by Rurality
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2025
Location
Average Number of Deficiencies Among Nursing Facilities in Rural Areas
Average Number of Deficiencies Among Nursing Facilities in Urban Areas
United States
7.6
10.2
Alabama
2
4.3
Alaska
4.9
13.7
Arizona
12.3
6.3
Arkansas
6.1
6.8
California
11.2
16
Colorado
7.4
9
Connecticut
14.7
12.7
Delaware
11.3
11.4
District of Columbia
N/A
16.5
Florida
5.4
7.4
Georgia
5.3
6
Hawaii
8.3
11.2
Idaho
7.3
7.5
Illinois
11
12.6
Indiana
6.1
8.2
Iowa
5.6
7.4
Kansas
8.6
11.7
Kentucky
3.5
4.6
Louisiana
9.1
9
Maine
12
11.4
Maryland
19.3
19.9
Massachusetts
10
9.8
Michigan
8.1
11.2
Minnesota
6.5
8.3
Mississippi
6.2
7
Missouri
10.2
12.7
Montana
9.3
13.7
Nebraska
5.7
6.7
Nevada
11.7
9.6
New Hampshire
4.4
4
New Jersey
N/A
8.1
New Mexico
13
15.2
New York
6.6
7.2
North Carolina
6.4
6.5
North Dakota
4.7
6.1
Ohio
8.8
10.2
Oklahoma
7
8.6
Oregon
10.6
11.7
Pennsylvania
9.2
10.3
Rhode Island
N/A
8.7
South Carolina
3.2
4.4
South Dakota
5.8
7.5
Tennessee
5.1
6.8
Texas
7.9
9
Utah
7.1
9.6
Vermont
7
9.5
Virginia
9.5
13.9
Washington
15.7
18.1
West Virginia
13.8
14.6
Wisconsin
8.5
10.7
Wyoming
5.8
8.2
2024
Location
Average Number of Deficiencies Among Nursing Facilities in Rural Areas
Average Number of Deficiencies Among Nursing Facilities in Urban Areas
United States
7.6
10.2
Alabama
1.9
4
Alaska
6.4
11.7
Arizona
8.1
5.3
Arkansas
7.8
8.8
California
13
16.9
Colorado
7.3
9.1
Connecticut
11.8
10.8
Delaware
11.6
11.7
District of Columbia
N/A
16.9
Florida
5.1
6.6
Georgia
4.4
6.4
Hawaii
9.3
12.8
Idaho
8.3
9.6
Illinois
10.8
13
Indiana
6.3
8.8
Iowa
7.4
9.6
Kansas
8.9
12.3
Kentucky
3.8
6.7
Louisiana
7.7
8.4
Maine
9.1
9.1
Maryland
18.3
16.7
Massachusetts
7
11.4
Michigan
8.1
12
Minnesota
6.3
8.2
Mississippi
5.6
5.8
Missouri
10.3
13.5
Montana
7.1
12.1
Nebraska
4.6
6
Nevada
14.4
12.3
New Hampshire
6.1
4.2
New Jersey
N/A
7.8
New Mexico
15.3
16.5
New York
5.4
5.7
North Carolina
6.9
7.1
North Dakota
4.9
5.6
Ohio
9.4
10.8
Oklahoma
6.9
7.6
Oregon
13.9
13.1
Pennsylvania
11.3
9.7
Rhode Island
N/A
9.2
South Carolina
5
4.7
South Dakota
3.3
4.6
Tennessee
5.3
6.2
Texas
8
9.2
Utah
6.2
8.3
Vermont
9.5
8.5
Virginia
8.7
12.7
Washington
12.8
16.6
West Virginia
13.6
16.9
Wisconsin
6.3
9.2
Wyoming
5.7
7.2
2023
Location
Average Number of Deficiencies Among Nursing Facilities in Rural Areas
Average Number of Deficiencies Among Nursing Facilities in Urban Areas
United States
7
9.7
Alabama
2
3.4
Alaska
6.3
15.3
Arizona
9.1
6.5
Arkansas
8
9.3
California
12.8
16.1
Colorado
7.1
7.4
Connecticut
8.7
8.8
Delaware
13.2
9.2
District of Columbia
N/A
19.8
Florida
3.9
6.4
Georgia
4.5
5.1
Hawaii
10.7
12.1
Idaho
6.4
9.1
Illinois
9
13.5
Indiana
6.2
10
Iowa
6.8
10.2
Kansas
7.7
9.8
Kentucky
3.6
5.5
Louisiana
7
6.3
Maine
8.7
7.6
Maryland
15.7
15.4
Massachusetts
13.6
11.7
Michigan
9.4
13
Minnesota
5.9
7.3
Mississippi
3.5
4.6
Missouri
9.9
13
Montana
7.3
12.4
Nebraska
6
9.2
Nevada
12.5
13.3
New Hampshire
6.2
3.9
New Jersey
N/A
5.7
New Mexico
13.8
16.7
New York
5.7
5.2
North Carolina
6.6
7.8
North Dakota
5.2
6.3
Ohio
9.1
10.8
Oklahoma
7.6
7.8
Oregon
10.1
11
Pennsylvania
9.9
8.7
Rhode Island
N/A
8.8
South Carolina
3.7
4.9
South Dakota
2.5
3.9
Tennessee
4.5
6.2
Texas
5.8
6.7
Utah
6.1
10.1
Vermont
7.8
4.8
Virginia
8.7
12.7
Washington
10.9
16
West Virginia
11.1
13.7
Wisconsin
5.7
9.5
Wyoming
5.8
8.8
2022
Location
Average Number of Deficiencies Among Nursing Facilities in Rural Areas
Average Number of Deficiencies Among Nursing Facilities in Urban Areas
United States
6.7
8.9
Alabama
1.8
3.3
Alaska
8.4
10
Arizona
11.4
7.4
Arkansas
7.8
9.9
California
10.6
14.4
Colorado
6.3
8.2
Connecticut
7.8
7.5
Delaware
15.3
11.9
District of Columbia
N/A
13.2
Florida
3.3
5.8
Georgia
3.7
3.7
Hawaii
6.9
10.9
Idaho
6.8
11
Illinois
9.7
11.8
Indiana
7.3
10.3
Iowa
5.8
8.4
Kansas
5.8
7.5
Kentucky
3.8
5.8
Louisiana
4.8
4.6
Maine
6.4
5
Maryland
13.1
15.2
Massachusetts
9.2
10.8
Michigan
10.9
13.6
Minnesota
6.2
6.5
Mississippi
3.8
4.9
Missouri
8
10.7
Montana
5.6
9.1
Nebraska
6.3
6.9
Nevada
14.4
13.1
New Hampshire
4
4.3
New Jersey
N/A
3.4
New Mexico
9.3
19
New York
5.5
4.8
North Carolina
6.3
7.3
North Dakota
5.9
5
Ohio
8.8
10.7
Oklahoma
7.7
7.9
Oregon
10
11.7
Pennsylvania
8.3
6.6
Rhode Island
N/A
8.8
South Carolina
4.9
4.1
South Dakota
4
8.3
Tennessee
3.9
5.1
Texas
5.4
6.1
Utah
6.8
9
Vermont
5.8
7.4
Virginia
9.5
11.4
Washington
17
20.7
West Virginia
9.7
10.4
Wisconsin
5.2
8.4
Wyoming
5.1
9
2021
Location
Average Number of Deficiencies Among Nursing Facilities in Rural Areas
Average Number of Deficiencies Among Nursing Facilities in Urban Areas
United States
6.9
8.9
Alabama
2.2
3.3
Alaska
10.7
12
Arizona
11.7
7.5
Arkansas
9.5
12.2
California
11.5
13.8
Colorado
9.1
9.9
Connecticut
7.4
8.3
Delaware
17
13.3
District of Columbia
N/A
16.1
Florida
4.6
5.9
Georgia
4.5
4.4
Hawaii
8.8
8.8
Idaho
7.7
12.5
Illinois
8.5
10.1
Indiana
7.9
10.8
Iowa
5.7
7.6
Kansas
6.4
7.2
Kentucky
4.6
5.8
Louisiana
4.7
4.7
Maine
6.9
5
Maryland
15
15.1
Massachusetts
7.6
9.9
Michigan
11.2
14.7
Minnesota
7.2
9.1
Mississippi
3.9
4.7
Missouri
6.8
10
Montana
6
7.5
Nebraska
6.4
7
Nevada
12.6
15.5
New Hampshire
3.2
4.2
New Jersey
N/A
3.4
New Mexico
8.5
12.3
New York
6.7
4.9
North Carolina
5.9
6.2
North Dakota
5.1
6.2
Ohio
9.3
9.9
Oklahoma
7.1
7.1
Oregon
9.7
12.9
Pennsylvania
8.2
6.8
Rhode Island
N/A
5.8
South Carolina
4.4
5
South Dakota
4.9
7.4
Tennessee
3.1
4.1
Texas
6.7
7.2
Utah
7.9
9.8
Vermont
3.6
4
Virginia
10.9
12.6
Washington
16.5
20.3
West Virginia
9.2
11.7
Wisconsin
5.3
8.2
Wyoming
7.2
8
2020
Location
Average Number of Deficiencies Among Nursing Facilities in Rural Areas
Average Number of Deficiencies Among Nursing Facilities in Urban Areas
United States
6.9
8.8
Alabama
2
2.9
Alaska
12
11.3
Arizona
8.4
6.2
Arkansas
8.7
10.8
California
11.9
13.5
Colorado
5.8
9.2
Connecticut
7.4
6.9
Delaware
17.8
12.2
District of Columbia
N/A
17.9
Florida
5.3
6.4
Georgia
4.1
3.9
Hawaii
7.3
8.4
Idaho
7
11.2
Illinois
7.9
10.2
Indiana
7.4
10.1
Iowa
5.5
7.3
Kansas
6.7
8.3
Kentucky
4.8
5.6
Louisiana
4.3
4.5
Maine
5
4.9
Maryland
13.9
15.5
Massachusetts
4.2
8.9
Michigan
12.3
14
Minnesota
6.9
9.1
Mississippi
4.1
4.5
Missouri
7.2
10
Montana
6
7.6
Nebraska
8.2
8.7
Nevada
11.7
14.8
New Hampshire
2.1
3.6
New Jersey
N/A
3.5
New Mexico
10.6
12.8
New York
7.3
5.1
North Carolina
4.4
5.3
North Dakota
5.1
6.6
Ohio
8.4
9.2
Oklahoma
6.8
7.9
Oregon
11
14.1
Pennsylvania
9.9
8.6
Rhode Island
N/A
2.8
South Carolina
6.2
6.4
South Dakota
5
6.8
Tennessee
3.1
3.8
Texas
6.8
7.5
Utah
7.9
10.1
Vermont
5.3
5.5
Virginia
10.9
12.9
Washington
18.2
21.5
West Virginia
11
12.7
Wisconsin
5.4
8.4
Wyoming
7.6
10.7
2019
Location
Average Number of Deficiencies Among Nursing Facilities in Rural Areas
Average Number of Deficiencies Among Nursing Facilities in Urban Areas
United States
6.8
8.6
Alabama
2.6
3.3
Alaska
12.3
12.5
Arizona
9.1
6.3
Arkansas
6.8
8.4
California
11.9
12.6
Colorado
5.6
7.4
Connecticut
5.9
7.6
Delaware
21.6
12.1
District of Columbia
N/A
16.1
Florida
5.2
6.7
Georgia
3.8
4
Hawaii
7.2
7.5
Idaho
7.7
11.7
Illinois
9.6
11.1
Indiana
7.2
10
Iowa
5
6.1
Kansas
6.5
7.6
Kentucky
5.6
6.3
Louisiana
4.6
5
Maine
4
5.4
Maryland
14.1
15.3
Massachusetts
5.7
8.9
Michigan
10.1
12.4
Minnesota
6.7
8.4
Mississippi
3.6
4.2
Missouri
7
9.6
Montana
6.8
9.1
Nebraska
8
7.9
Nevada
11.9
14.7
New Hampshire
1.9
4
New Jersey
N/A
4.1
New Mexico
12.8
12.4
New York
6.1
4.9
North Carolina
5.6
6.3
North Dakota
5.4
6.3
Ohio
7.9
8.9
Oklahoma
6.9
7
Oregon
10.9
13
Pennsylvania
9.9
8.4
Rhode Island
N/A
2.5
South Carolina
7.2
7.2
South Dakota
3.7
4.9
Tennessee
3
3.9
Texas
6.8
7.4
Utah
10.4
9.8
Vermont
6.9
6.9
Virginia
11
12
Washington
15.5
19.5
West Virginia
9.1
11.1
Wisconsin
5.1
6.8
Wyoming
8.1
9.9
2018
Location
Average Number of Deficiencies Among Nursing Facilities in Rural Areas
Average Number of Deficiencies Among Nursing Facilities in Urban Areas
United States
6.4
7.9
Alabama
4
4.8
Alaska
10.5
12.8
Arizona
5.7
3.8
Arkansas
5.1
7.2
California
11.8
12.5
Colorado
8.8
8.9
Connecticut
7.4
6.5
Delaware
DQ
DQ
District of Columbia
N/A
11.6
Florida
4.3
6
Georgia
3.3
3.7
Hawaii
7.8
8.4
Idaho
8.8
10.3
Illinois
8.1
10.4
Indiana
6.2
8.8
Iowa
3.8
5.5
Kansas
9
10.9
Kentucky
5.2
5
Louisiana
4
3.8
Maine
3.4
4.1
Maryland
9
11.8
Massachusetts
5.1
5.9
Michigan
9.8
13
Minnesota
5.5
6.7
Mississippi
3.8
4.4
Missouri
5.6
7.8
Montana
8.4
11.7
Nebraska
7.1
7.1
Nevada
6.5
8.5
New Hampshire
2.3
3.7
New Jersey
N/A
4
New Mexico
12.6
11.4
New York
6.3
4.5
North Carolina
5.7
5.9
North Dakota
7.2
6.3
Ohio
6.1
6.9
Oklahoma
8.4
9.5
Oregon
9.3
10.1
Pennsylvania
10.2
8.6
Rhode Island
N/A
1.9
South Carolina
7
7.1
South Dakota
3.8
7.1
Tennessee
4.4
5
Texas
7.1
7.7
Utah
8.6
9.6
Vermont
5.5
3.5
Virginia
8.1
8.9
Washington
12.5
14.4
West Virginia
8.6
10.3
Wisconsin
5.4
7.3
Wyoming
9.3
13.4
2017
Location
Average Number of Deficiencies Among Nursing Facilities in Rural Areas
Average Number of Deficiencies Among Nursing Facilities in Urban Areas
United States
6.4
7.7
Alabama
3.7
4.9
Alaska
9.7
15.3
Arizona
4.3
4.4
Arkansas
4.9
6.5
California
12.5
12.2
Colorado
7.9
8.9
Connecticut
5.6
7.6
Delaware
DQ
DQ
District of Columbia
N/A
11.9
Florida
4.8
6.3
Georgia
4.1
4.3
Hawaii
9.4
7.7
Idaho
9.5
8.3
Illinois
7.3
9.1
Indiana
5.5
8.1
Iowa
4.5
6.7
Kansas
9.7
10.9
Kentucky
5.2
4.6
Louisiana
4
3.7
Maine
3.3
3.1
Maryland
8.6
12.1
Massachusetts
4
5.7
Michigan
9.4
12.2
Minnesota
5.8
6.8
Mississippi
3.9
4.5
Missouri
5.4
7.3
Montana
8
9.6
Nebraska
6.9
6.7
Nevada
7.8
8.4
New Hampshire
2.1
3.5
New Jersey
N/A
4.3
New Mexico
10.4
10.9
New York
7.4
5.1
North Carolina
5.6
5.1
North Dakota
7.3
6.3
Ohio
6
6.3
Oklahoma
8.3
8.7
Oregon
9.7
8.8
Pennsylvania
10.6
8.2
Rhode Island
N/A
1.9
South Carolina
6.1
5.5
South Dakota
4.6
9.2
Tennessee
4.7
5.8
Texas
6.8
7.2
Utah
6.7
8.7
Vermont
3.6
2
Virginia
8.1
9.2
Washington
12.4
12.9
West Virginia
8.5
8.9
Wisconsin
5.9
7.7
Wyoming
9.1
14.3
2016
Location
Average Number of Deficiencies Among Nursing Facilities in Rural Areas
Average Number of Deficiencies Among Nursing Facilities in Urban Areas
United States
6.3
7.4
Alabama
4.4
5.4
Alaska
9.7
11.3
Arizona
9.4
6.8
Arkansas
5.4
7.3
California
11.7
11.6
Colorado
8.3
8.5
Connecticut
6.9
7.6
Delaware
DQ
DQ
District of Columbia
N/A
11.3
Florida
4.9
6.6
Georgia
2.7
3.2
Hawaii
5.2
7
Idaho
8.9
10.7
Illinois
6.7
8.1
Indiana
5.9
7.9
Iowa
4.9
6.1
Kansas
10.4
11.2
Kentucky
5.4
5.9
Louisiana
4.8
4.2
Maine
3.3
3.3
Maryland
8.4
10.5
Massachusetts
4.3
4.4
Michigan
7
10.3
Minnesota
5.9
7.3
Mississippi
4.5
4.5
Missouri
5.2
6.9
Montana
9.1
9.4
Nebraska
6.9
5.5
Nevada
9.5
8.5
New Hampshire
1.9
2.4
New Jersey
N/A
4.5
New Mexico
7.9
10.5
New York
7.4
5.5
North Carolina
4.4
4.9
North Dakota
7.2
6.3
Ohio
5.1
5.7
Oklahoma
9.2
9.7
Oregon
7.8
7.8
Pennsylvania
8.9
7.6
Rhode Island
N/A
1.9
South Carolina
6.9
6
South Dakota
4.9
6.2
Tennessee
4.1
5.7
Texas
6.6
7
Utah
6.3
7.5
Vermont
4.9
6.3
Virginia
7.7
8.9
Washington
11.8
11
West Virginia
8.3
9
Wisconsin
6.5
9.3
Wyoming
8.7
19.3
2015
Location
Average Number of Deficiencies Among Nursing Facilities in Rural Areas
Average Number of Deficiencies Among Nursing Facilities in Urban Areas